Kūpuna "Older Adults" COVID-19 Vaccination Efforts in Hawai'i: Barriers and Successes.

Prior to the availability of vaccines, kūpuna (older adults) accounted for the majority of COVID-19 hospitalizations and deaths. Hawaii's phased vaccine-release plan prioritized kūpuna, but it did not include guidance or strategies for kūpuna to get to mass vaccination sites, for those residing in care and foster homes, or for the homebound. This paper presents findings from statewide efforts to facilitate a quick uptake of vaccines among kūpuna of all ability levels. Researchers interviewed 32 individuals involved in kūpuna vaccination efforts from state and county government agencies, health care organizations, and non-profit organizations. Data on the percentage of kūpuna that initiated and completed the vaccination series by age group and island were obtained from the Hawai'i State Department of Health COVID-19 Dashboard. Overall, kūpuna vaccination efforts across the state were successful. By July 30, 2021, 94% of adults age 65+ were vaccinated, although prevalence varied by county-from 88% on Maui to 98% on Kaua'i. Key barriers included cumbersome online systems for scheduling vaccination appointments, difficulties for some elders in accessing mass vaccination sites, and the need for education and consent forms in multiple languages. Successful strategies included funding coalitions for effective partnerships, establishing county- and language-specific call centers, and supporting translation/interpretation services, mobile and pop-up clinics, and mechanisms for in-home vaccinations. Hawai'i worked hard to facilitate the quick uptake of COVID-19 vaccines among older adults. Funding for coalitions that could identify gaps, coordinate expertise across public and private sectors, and advocate for elders were crucial elements of the state's success.